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Digital Engagement and Cognitive Function Among Older Adults in China: Cross-Sectional Questionnaire Study and Moderated Mediation Model Analysis

Background: Given the global demographic shifts and rapid digitalization, digital engagement has emerged as a critical determinant of healthy aging. While previous research has linked digital engagement to cognitive outcomes, the underlying mechanisms remain underexplored among Chinese older adults. Objective: This study aimed to analyze the relationships between digital engagement and cognitive function among older adults in China through a moderated mediation model guided by the technological reserve hypothesis, with digital health literacy (DHL) and social support as mediators and living arrangements as a moderator. Methods: We conducted a cross-sectional questionnaire survey using stratified multistage sampling from June to November 2024, including 8123 participants aged 55 years and older. Digital engagement, defined as older adults’ use of contemporary digital technologies to support routine daily activities, autonomy, independence, and social inclusion, was assessed using a multidimensional questionnaire. The Chinese eHealth Literacy Scale, the 3-item short version of the Perceived Social Support Scale, and the Mini-Cog test were used to assess DHL, social support, and cognitive function. Guided by a directed acyclic graph based on the technological reserve hypothesis, mediation and moderated mediation analyses were performed using the PROCESS macro in SPSS (IBM Corp) with 5000 bootstrap resamples. Results: Digital engagement was positively associated with cognitive function among older adults (Ξ²=0.241, 95% CI 0.216-0.265). This association was partially mediated by DHL (Ξ²=0.059, 95% CI 0.049-0.069) and social support (Ξ²=0.012, 95% CI 0.008-0.016), with the combined indirect effects accounting for 29.5% of the total effect (Ξ²=0.071, 95% CI 0.061-0.082). Additionally, living arrangements significantly moderated the associations between digital engagement and cognitive function (Ξ²=0.109, 95% CI 0.052-0.166), digital engagement and DHL (Ξ²=0.063, 95% CI 0.014-0.112), and digital engagement and social support (Ξ²=0.151, 95% CI 0.089-0.212). These effects were stronger among older adults living alone. Conclusions: This study contributes to the understanding of cognitive aging in the digital environment from the perspective of the technological reserve hypothesis and digital engagement. Digital engagement influenced cognitive function via DHL and social support, and these associations of digital engagement with cognitive function, DHL, and social support were stronger among older adults living alone. Digital health interventions and public health policies should target both DHL and social support among older populations and prioritize older adults living alone.
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Phythesis: Physics-Guided Evolutionary Scene Synthesis for Energy-Efficient Data Center Design via LLMs

arXiv:2512.10611v1 Announce Type: new Abstract: Data center (DC) infrastructure serves as the backbone to support the escalating demand for computing capacity. Traditional design methodologies that blend human expertise with specialized simulation tools scale poorly with the increasing system complexity. Recent studies adopt generative artificial intelligence to design plausible human-centric indoor layouts. However, they do not consider the underlying physics, making them unsuitable for the DC design that sets quantifiable operational objectives and strict physical constraints. To bridge the gap, we propose Phythesis, a novel framework that synergizes large language models (LLMs) and physics-guided evolutionary optimization to automate simulation-ready (SimReady) scene synthesis for energy-efficient DC design. Phythesis employs an iterative bi-level optimization architecture, where (i) the LLM-driven optimization level generates physically plausible three-dimensional layouts and self-criticizes them to refine the scene topology, and (ii) the physics-informed optimization level identifies the optimal asset parameters and selects the best asset combination. Experiments on three generation scales show that Phythesis achieves 57.3% generation success rate increase and 11.5% power usage effectiveness (PUE) improvement, compared with the vanilla LLM-based solution.
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